NPI | 1518357870 |
---|---|
Entity Type | Organization |
Authorized Contact | JASON JOY Owner 620-225-8677 |
Organization Subpart ? | No |
Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: KS 01-04895) |
Enumeration Date | 2015-01-26 |
Last Update Date | 2015-01-26 |